Table 3.
Comparative immune and metabolic changes in cancer and helminth infections.
| Cancer | Helminths | |
|---|---|---|
| Main immune alteration |
Immunosuppression Immune evasion |
Modified Th2 response Immune evasion |
| Main immune cells involved | -Cytotoxic T lymphocytes (CD8+) -TAMs -T regs |
-Th2 cells -M2 polarization -Tregs |
| Immunometabolic landmarks | -Nutrient deprivation (glucose and amino acids) -Warburg effect -Lactate production (generation of acidic TME) -Interaction with host lipid metabolism -Stimulation of FAO, OXPHOS in immune effector cells |
-Nutrient deprivation (glucose and glutamine) -Interference with mTOR and other anabolic pathways -Interaction with host lipid metabolism -Stimulation of FAO, OXPHOS in immune effector cells |
| Net effects of immunometabolic alterations | -Immune tolerance against the tumor -Downregulation of immune surveillance -Tumoral growth, invasion and metastasis |
-Immune modulation -Generation of an anti-inflammatory, tolerogenic microenvironment -Nutrient availability for parasite development and reproduction |